Nadia Mondestin, LADC, CRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001264 Issued in CT

Practice address

991 Lindley St
Bridgeport, CT 06606-4725

Phone

(347) 570-3438

NPI assigned

Jan 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inlight Professional Counseling Services LLC

  • Marriage & Family Therapist
  • Danielson, CT
  • NPI 1619284593
  Medicare reassignment NPD
• Parham Counseling Services, LLC

  • Mental Health Counselor
  • Norwich, CT
  • NPI 1750893905
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1336890219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 LINDLEY ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064725",
            "telephone_number": "347-570-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 LINDLEY ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064725",
            "telephone_number": "347-570-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESTIN",
        "first_name": "NADIA",
        "credential": "LADC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Francis Mojcik, MD, PHD
• Jocelyn Marie Mokos, MSPT
• Alexandra Rey Molina
• Bonnie Molloy, CRNA
• Lori Jane Monaco, D.C.
• Anthony Mongillo, MD
• Monitor My Health, Inc.
• Elizabeth Erin Monks
• Michael B Montanaro, DDS
• Jeffrey Montano, PA.

• Addiction (Substance Use Disorder) Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.